A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?
Collect a capillary glucose level.
Notify the healthcare provider.
Obtain orthostatic blood pressure readings.
Administer a PRN dose of an antianxiety drug.
The Correct Answer is B
A) Collecting a capillary glucose level is not indicated in response to hand tremors reported by a client taking pregabalin for fibromyalgia. Hand tremors are not typically associated with hypoglycemia, which is what capillary glucose levels assess. Therefore, this action does not directly address the reported symptom.
B) Notifying the healthcare provider is the most appropriate action in response to the client’s report of experiencing tremors while taking pregabalin. Hand tremors can be a potential adverse effect of pregabalin, and the healthcare provider should be informed to assess the severity of the symptom, consider alternative medications or dosage adjustments, and determine the need for further evaluation or intervention.
C) Obtaining orthostatic blood pressure readings is not indicated in response to hand tremors reported by a client taking pregabalin for fibromyalgia. Orthostatic blood pressure readings assess for changes in blood pressure upon position changes (e.g., from lying down to standing up) and are not directly relevant to the reported symptom of tremors.
D) Administering a PRN dose of an antianxiety drug is not the first-line intervention for hand tremors reported by a client taking pregabalin. While antianxiety medications may help alleviate symptoms of anxiety, they do not address the underlying cause of the tremors. Additionally, the client’s tremors may not necessarily be related to anxiety. Therefore, the nurse should prioritize notifying the healthcare provider for further assessment and management of the reported symptom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Taking the medication one hour after meals and other medications may help prevent interference with the absorption of nutrients or other medications. However, it is not a specific instruction related to the administration of bulk-forming laxatives.
B) Remaining upright for thirty minutes following drug administration is a common instruction for medications that may cause esophageal irritation or reflux. However, it is not typically necessary for bulk-forming laxatives, which work primarily in the colon rather than the esophagus or stomach.
C) Following medication administration with an additional glass of water is the correct instruction for self-administration of bulk-forming laxatives. These laxatives absorb water in the intestines, which helps to soften the stool and promote bowel movements. Adequate hydration is essential to prevent the bulk-forming laxative from causing intestinal obstruction.
D) Avoiding the intake of dairy products while using the medication is not a specific instruction related to the administration of bulk-forming laxatives. Bulk-forming laxatives are generally well-tolerated and do not interact with dairy products. However, increasing fluid intake, particularly water, is essential to prevent constipation and ensure the effectiveness of the medication.
Correct Answer is ["100"]
Explanation
Since the client weighs 90 kg, let’s first convert their weight to pounds to determine the appropriate cefazolin dosage:
Conversion factor: 1 kg = 2.205 pounds
Client weight (pounds) = 90 kg x 2.205 pounds/kg = 198.45 pounds (rounded to two decimals)
Now, comparing the client’s weight (198.45 pounds) to the weight threshold (265.5 pounds):
Client weight is less than the threshold (198.45 pounds < 265.5 pounds).
Therefore, the appropriate dosage is:
Cefazolin 2 grams/100 mL 0.9% normal saline over 1 hour.
The pump rate is determined by the total volume of the IV fluid and the infusion time.
We are not given the specific bag size, but typically these come in 100 mL or 500 mL volumes.
Assuming a 100 mL bag (which aligns with the concentration provided):
Total volume of IV bag: 100 mL
Infusion time: 1 hour
Calculation:
Pump rate (mL/hr) = Total volume (mL) / Infusion time (hr)
Pump rate (mL/hr) = 100 mL / 1 hour = 100 mL/hr
Therefore, the nurse should program the pump to deliver 100 mL/hr.
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